Gastroenterology NursingPub Date : 2023-07-01Epub Date: 2023-05-17DOI: 10.1097/SGA.0000000000000736
Gypsy Glover
{"title":"Implementing a Combined Phone and Mail Recall to Increase Screening Colonoscopy Rates in Adults With Chronic Ulcerative Colitis.","authors":"Gypsy Glover","doi":"10.1097/SGA.0000000000000736","DOIUrl":"10.1097/SGA.0000000000000736","url":null,"abstract":"<p><p>Colon cancer is the third leading cancer nationally. To prevent colon cancer and decrease healthcare costs, high-risk individuals such as adults with chronic ulcerative colitis are recommended to stay up-to-date on screening colonoscopies. Despite these recommendations, screening colonoscopy rates remain low both globally and locally. The purpose of this article is to increase surveillance colonoscopy rates among adult patients with chronic ulcerative colitis. Research supports increasing surveillance colonoscopy rates by implementing a combined phone and mail recall with included educational material on the risks of colon cancer. At a clinic for inflammatory bowel disease patients in Southeast Alabama, participants with chronic ulcerative colitis who were overdue for screening colonoscopies were issued two reminder phone calls and a reminder letter coupled with educational material. Both the calls and letters reminded participants that they were due for a surveillance colonoscopy and provided them with an option to schedule the procedure. A pre- and post-survey was used to evaluate screening colonoscopy rates before and after the intervention. The survey indicated whether a patient had scheduled a colonoscopy, intended to schedule a colonoscopy, or completed a colonoscopy within 3 months of project completion. Survey results revealed an 83% increase in screening colonoscopies post-intervention. A chart audit was also performed 3 months after project completion and results indicated a 70% increase in completed colonoscopy rates. The findings from this evidence-based practice project indicate that implementing a phone and mail recall is successful in increasing screening colonoscopy rates.</p>","PeriodicalId":12666,"journal":{"name":"Gastroenterology Nursing","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10276727","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Gastroenterology NursingPub Date : 2023-07-01Epub Date: 2023-05-01DOI: 10.1097/SGA.0000000000000704
Merve Eren Durmuş
{"title":"SWEET'S SYNDROME IN A PATIENT WITH CROHN DISEASE: A CASE REPORT.","authors":"Merve Eren Durmuş","doi":"10.1097/SGA.0000000000000704","DOIUrl":"10.1097/SGA.0000000000000704","url":null,"abstract":"Sweet’s syndrome, or acute febrile neutrophilic dermatoses, was first described in 1964 by Robert Douglas Sweet (Neoh, Tan, & Ng, 2007). Sweet’s syndrome is more common in females, with a female to male ratio of 3.7:1, and a mean age of 52 years (Cohen, 2007). This syndrome presents with fever, neutrophil-dominant leukocytosis, red– brown plaques, and nodules mainly in the head, neck, and upper extremities, which are painful and tender to touch. Crohn disease (CD) is an immunity-based inflammatory disease with unknown etiology that may affect any part of the gastrointestinal tract with a transmural pattern of inflammation (Stange et al., 2006). Cutaneous manifestations of CD are usually erythema nodosum, oral aphthous ulcers, and epidermolysis bullosa. On the other hand, Sweet’s syndrome is rarely associated with CD (Trost & McDonnell, 2005).","PeriodicalId":12666,"journal":{"name":"Gastroenterology Nursing","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9945575","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Gastroenterology NursingPub Date : 2023-07-01Epub Date: 2023-05-09DOI: 10.1097/SGA.0000000000000737
Noelle Rohatinsky, Brooke Russell, Kevin B Read
{"title":"The Experiences of Older Adults Living With Inflammatory Bowel Disease: A Scoping Review.","authors":"Noelle Rohatinsky, Brooke Russell, Kevin B Read","doi":"10.1097/SGA.0000000000000737","DOIUrl":"10.1097/SGA.0000000000000737","url":null,"abstract":"<p><p>The prevalence of inflammatory bowel disease is rising in persons older than 65 years. Although there is extensive literature on inflammatory bowel disease in older adults from a disease-related outcome, epidemiological, and treatment perspective, the older adult perspective on inflammatory bowel disease-related care needs and experiences is not well represented. This scoping review examines the existing literature regarding the care experiences of older adults living with inflammatory bowel disease. A systematic search was conducted using 3 concepts: older adults, inflammatory bowel disease, and patient experience. Seven publications met the inclusion criteria. Reported data include study design and methods, sample characteristics, and findings relevant to the research question. Two themes were identified: preferences for interactions with healthcare personnel and peer support networks, and barriers to accessing care for inflammatory bowel disease needs. An overarching concept across all studies was the need and request for individualized, patient-centered care where patient preferences are considered. This review highlights the need for more research on the older adult age group to guide evidence-informed practice that meets their individual inflammatory bowel disease care needs.</p>","PeriodicalId":12666,"journal":{"name":"Gastroenterology Nursing","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9891268","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Gastroenterology NursingPub Date : 2023-07-01Epub Date: 2023-05-24DOI: 10.1097/SGA.0000000000000741
Aki Kawakami, Makoto Tanaka, Kayoko Sakagami, Hiroaki Ito
{"title":"Content of Telephone Consultations of Patients With Inflammatory Bowel Disease: A Single-Center Descriptive Study.","authors":"Aki Kawakami, Makoto Tanaka, Kayoko Sakagami, Hiroaki Ito","doi":"10.1097/SGA.0000000000000741","DOIUrl":"10.1097/SGA.0000000000000741","url":null,"abstract":"<p><p>This study aimed to analyze the specific contents of telephone consultations of patients with inflammatory bowel disease. A medical record survey was conducted at a clinic in Japan for 1 year. Telephone consultation sheets recorded by nurses for calls with the patients or their relatives were reviewed. Content analysis was used to summarize the telephone consultation content. Consultations were categorized into 8 categories. Coding was conducted by 2 independent researchers. Concordance rates were evaluated using kappa coefficients. We analyzed 476 sheets. A total of 229 participants consulted the clinic at least once. The mean number of consultations per person was 2.1. Of these patients, 96 (40.9%) had ulcerative colitis. The kappa coefficient was 0.89. The most frequent consultation was \"Consultation on worsening health: Inflammatory bowel disease is likely to have worsened\" (42.0%). The second most frequent response was \"Consultation or progress report on a worsening health condition: The disease is unlikely to have worsened\" (19.8%). For consultations related to worsening the disease, it would be useful to assess symptoms over the phone using a disease activity index to ascertain the degree of worsening and to develop a screening tool for determining whether patients can continue remote support or require face-to-face consultation.</p>","PeriodicalId":12666,"journal":{"name":"Gastroenterology Nursing","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9898159","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Experiences of Older Adults Living With Inflammatory Bowel Disease: A Scoping Review.","authors":"","doi":"10.1097/SGA.0000000000000764","DOIUrl":"10.1097/SGA.0000000000000764","url":null,"abstract":"","PeriodicalId":12666,"journal":{"name":"Gastroenterology Nursing","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10268426","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Implementing a Combined Phone and Mail Recall to Increase Screening Colonoscopy Rates in Adults With Chronic Ulcerative Colitis.","authors":"","doi":"10.1097/SGA.0000000000000761","DOIUrl":"10.1097/SGA.0000000000000761","url":null,"abstract":"","PeriodicalId":12666,"journal":{"name":"Gastroenterology Nursing","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9964970","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Peroral Endoscopic Myotomy: What Nurses Need to Know to Provide Preeminent Perioperative Care.","authors":"Natalie Dawley","doi":"10.1097/SGA.0000000000000711","DOIUrl":"https://doi.org/10.1097/SGA.0000000000000711","url":null,"abstract":"<p><p>This article aims to explore details of research, evidence, and key concepts intended for nurses and other healthcare clinicians surrounding the paradigm shift in therapeutic endoscopy relating to the third-space endoscopic procedure, peroral endoscopic myotomy. Although many medical publications detail the procedure, there are no specific guidelines for nurses to reference when caring for the patient undergoing peroral endoscopic myotomy. With scant published resources available to direct nurses distinctly in the delivery of exceptional care to patients undergoing peroral endoscopic myotomy, there is an identified need for collated information to be accessible to all nurses providing perioperative teaching and care. As peroral endoscopic myotomy continues to transpire as a mainstream or preferred standard treatment for patients who suffer from achalasia, relevant education remains to be fully understood and assessed in the nursing arena. By examining nursing considerations for patient care, indications, techniques, and advancements regarding this ever-emergent breakthrough, readers will discover guidance in comprehensive care encompassing patients undergoing the peroral endoscopic myotomy procedure.</p>","PeriodicalId":12666,"journal":{"name":"Gastroenterology Nursing","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9564337","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Alessandra Negro, Giulia Villa, Matteo Cardinali, Nicola Gianelle, Roberta Ranzani, Stefano Rolandi, Nicolò Maimeri, Alberto Zangrillo
{"title":"Is Gastrointestinal Bleeding a Problem for COVID-19 Intensive Care Unit Patients?","authors":"Alessandra Negro, Giulia Villa, Matteo Cardinali, Nicola Gianelle, Roberta Ranzani, Stefano Rolandi, Nicolò Maimeri, Alberto Zangrillo","doi":"10.1097/SGA.0000000000000722","DOIUrl":"https://doi.org/10.1097/SGA.0000000000000722","url":null,"abstract":"<p><p>The objective of this study was to describe the COVID-19 intensive care unit population and analyze the characteristics and outcomes of gastrointestinal bleeding patients. An observational prospective study design was used following the STROBE checklist. All patients admitted between February and April 2020 to the intensive care unit were included. Main outcome measures were first bleeding event timing, sociodemographic and clinical data before admission, and gastrointestinal symptoms. A total of 116 COVID-19 patients were included; 16 (13.8%) developed gastrointestinal bleeding, 15 were males (93.7%), and the median age was 65.64 ± 7.33 years. All 16 patients were mechanically ventilated, one (6.3%) already had gastrointestinal symptoms, 13 (81.3%) had at least one concomitant disease, and six (37.5%) died. Bleeding episodes occurred on a mean of 16.9 ± 9.5 days after admission. Nine cases (56.3%) had effects on their hemodynamics, hemoglobin levels, or transfusion requirements; six (37.5%) required diagnostic imaging; and two (12.5%) underwent endoscopy procedures. The Mann-Whitney test showed statistically significant differences between the two groups of patients concerning comorbidities. Gastrointestinal bleeding can occur in critically ill patients with COVID-19. Having a solid tumor or chronic liver disease seems to increase that risk. Nurses caring for COVID-19 patients are urged to individualize patients at higher risk in order to improve safety.</p>","PeriodicalId":12666,"journal":{"name":"Gastroenterology Nursing","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10439189","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}